G0417 — Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens
G0417 is a HCPCS Level II code for surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2014 and is not valid on new claims.
This code has been terminated
CMS terminated G0417 on December 31, 2014. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for G0417
- Long descriptor
- Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens
- Short descriptor
- Sat biopsy prostate 21-40
- Added
- January 1, 2009
- Terminated
- December 31, 2014
- BETOS
- T1G
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to G0417
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0417 is not quite right, the correct code is very often within a few positions of it.
- G0409Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
- G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
- G0411Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
- G0412Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
- G0413Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)
- G0414Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
- G0415Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
- G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
- G0418Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimensterminated
- G0419Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimensterminated
- G0420Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
- G0421Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour
- G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session
- G0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session
- G0424Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per dayterminated
- G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth
Questions about G0417
What is HCPCS code G0417?
G0417 is a HCPCS Level II code for surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0417?
The CMS HCPCS file marks G0417 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is G0417 still valid?
No. G0417 was terminated on December 31, 2014 and should not be used on new claims.